稀释式自身输血在头颈癌手术治疗中的应用

①目的　探讨稀释式自身输血技术在头颈癌手术中的应用及其意义。②方法　对 46例头颈癌病人采用稀释式自身输血 ,仅在术中失血过多时 ,再输入适量异体血 ;选病情及手术方法与实验组一致的头颈癌病人 46例作为对照组 ,不采用稀释式自身输血 ,有输血指征时输入异体血。③结果　实验组中仅 14例需输入异体血 ,而对照组 46例中 2 9例需输入异体血 ,差异有极显著意义 (χ2 =9.82 ,P <0 .0 1)。两组均无术中并发症 ,术后并发症差异无显著性 (χ2 =0 .12 ,P >0 .0 5 )。④结论　稀释式自身输血可使许多需手术治疗的头颈癌病人避免异体输血。

DILUTED AUTOTRANSFUSION IN THE SURGICAL TREATMENT OF HEAD AND NECK CANCER

Objective To study the application and clinical significance of diluted autotransfusion in the surgical treatment of head and neck cancer. Methods Diluted autotransfusion was adopted in 46 patients with head and neck cancer during operation as the experimental group, and the transfusion of donors blood was adopted only in patients with excessive blood loss. The other 46 patients with the same disease and operation were served as the control group, without autotransfusion and a donors blood was transfused only in case of need. Results Transfusion of donors blood was necessary only in 14 patients in the experimental group, and 29 patients of the control group needed transfusion of donors blood(χ2=9.82, P<0.01). There were no complications during the operations , and the postoperative complications were not significant (χ2=0.12, P>0.05). Conclusion The application of diluted autotransfusion may be of help to many patients with head and neck cancer to avoid transfusion of donors blood during operation.